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Hospice is supportive care provided to individuals in the final phases of terminal disease so that they may live as fully and comfortably as possible. Hospice care recognizes that death is a part of life and focuses on maximizing the quality of life for the patient during whatever time remains. The veterinarian coordinates and oversees medical procedures, medication prescription and delivery, and comfort care, but the day-to-day hospice care happens in the home. With planning, forethought, and honest communication, it is possible to provide a dying pet with a reasonable and acceptable quality of life as the end of life approaches.
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Open, honest, and direct communication with your pet's veterinarian and veterinary healthcare team, throughout your pet's life, lays the necessary foundation for effective communication as the end of life approaches. As soon as a life-limiting disease is diagnosed, it is time to begin a dialogue about treatment options and how the approaching end of life will be handled. Delivery of hospice care is as individual as the pet and the family. Applying hospice and palliative care principles to our pets as they approach the end of their lives can be an emotionally rich and satisfying experience.
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If your pet had an emergency crisis, how would you manage it? Ask your veterinary hospital how they handle after-hour emergencies. Use this handout to help you plan ahead and be prepared in the event of a pet-health emergency.
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Your veterinarian may prescribe rectal medication if your pet is unable to swallow oral medications or if a specific required medication cannot be effectively absorbed with oral delivery. The rectal tissues contain large numbers of blood vessels very close to their surface, which means that medications delivered to this area are rapidly absorbed into the bloodstream. Rectal medication is most commonly used to treat seizures.
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Hyaluronan topical (Optixcare wipes®) are used to remove sticky mucus, eye secretions, and crusty debris from around the eyes of dogs, cats, and other small pets. They contain chamomile and hyaluron, which are gentle cleaning supplements. They are used to manage tear staining around the eyes in pets prone to this condition.
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Hyaluronate sodium ophthalmic (Remend®, I-drop®, Oculenis®) is a lubricating topical eye drop. It is used in dogs and cats to help lubricate and moisturize the eye and to minimize dryness and irritation. It is often used to support pets with decreased tear production, such as pets with keratoconjunctivitis sicca (dry eye). Hyaluronate sodium ophthalmic drops can be used to accelerate healing for pets with eye injuries.
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Hydralazine is given by mouth and is used off label to treat high blood pressure and some causes of heart failure in cats and dogs. Side effects include decreased appetite, vomiting, and/or diarrhea. Do not use in pets that are allergic to it or in pets with heart vessel disease, low blood pressure, severe dehydration, or severe blood loss.
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Hydrocodone is an opiate agonist given by mouth as a tablet or liquid and used off label to treat pain and dry cough in dogs. The most common side effects include sedation and constipation. Do not use this medication in pets that are allergic to opiates or that have ingested a toxin. Use with caution in debilitated or geriatric pets, pets with a head injury, or pets that have thyroid, heart, lung, liver, kidney, or adrenal disease. If a negative reaction occurs, call your veterinary office.
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Hydrocortisone ophthalmic is a topical steroid medication used to treat surface inflammation in the conjunctiva of the eye. It is used to treat inflammatory eye conditions in cats and dogs. It may be used “off label” or “extra label” to treat eye conditions in animals other than cats or dogs. Hydrocortisone ophthalmic comes in ointment and liquid drop form. Avoid use in animals with viral or fungal infections, corneal ulceration, and birds.
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Hydrocortisone topical is a medication applied to the skin that comes in many forms such as creams, ointments, shampoos and sprays, and is used to treat itchiness and inflammation. Side effects may include irritation at the application site, and with long-term use, can include thin skin, skin bumps, and blackheads. Use this medication with caution in pregnant pets or in pets with skin tuberculosis.